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1902550080
LOGAN J BOLANDER
WILMINGTON, DE
NPI
1902550080
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: DE Q1-0011872)
Enumeration Date
2022-02-08
Last Update Date
2022-02-08
Business Address
MR. LOGAN J BOLANDER LCSW
1301 E 12TH ST
WILMINGTON, DE 19802-5315
Phone number: 302-429-7731
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Mailing Address
MR. LOGAN J BOLANDER LCSW
9 AUGUSTA DR
ELKTON, MD 21921-8334
Phone number: 302-598-8722
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